Free tool · No account needed
Free chiropractic SOAP note generator
Turn visit shorthand into a chiropractic SOAP note with PART findings, segmental levels, the adjustments you delivered and a care plan with reassessment dates.
How to use it
- 01
Paste the subjective
Pain score and location, change since last visit, aggravating activities, red-flag screening and outcome measures such as Oswestry or NDI.
- 02
Add PART findings
Tenderness, asymmetry, range of motion and tissue tone by segment and side, plus orthopaedic and neurological tests.
- 03
List treatment and plan
Techniques and levels adjusted, the patient’s response, home advice and the visit frequency until reassessment.
What goes in a chiropractic SOAP note?
Chiropractic SOAP notes record segmental findings and the adjustments delivered at each visit. Many chiropractors organise the objective findings with PART: Pain or tenderness, Asymmetry, Range of motion abnormality and Tissue tone changes. In the United States, payers such as Medicare commonly look for this kind of documentation of segmental findings; check what your own payers require.
- Subjective
- Complaint, location and character of pain, pain score, change since last visit, aggravating and easing factors, red-flag screening and outcome measures.
- Objective (PART)
- Pain/tenderness, Asymmetry, Range of motion and Tissue tone findings by spinal level and side, plus orthopaedic and neurological tests.
- Assessment
- Clinical impression, segmental dysfunction by level, and response to care so far.
- Treatment
- Techniques used at each level and side, soft tissue work and other modalities, and how the patient tolerated them.
- Plan
- Visit frequency and duration, home exercises and advice, goals and reassessment date.
Chiropractic SOAP note example: mechanical low back pain
Subjective
Visit 4. 44-year-old man with low back pain for 3 weeks after lifting, central and right-sided. No leg pain, numbness or tingling; no change in bladder or bowel function. Pain 4/10 (previously 7/10). Aggravated by sitting for more than 30 minutes. Oswestry 22% (previously 36%).
Objective (PART)
Pain/tenderness: right L4–L5 facet and right SIJ. Asymmetry: right iliac crest high in standing. Range of motion: lumbar flexion 60% with pain at end range, extension 75%, right rotation restricted. Tissue tone: hypertonic right quadratus lumborum and erector spinae. Straight leg raise negative bilaterally. Lower limb neurology intact (reflexes, myotomes, dermatomes).
Assessment
Mechanical low back pain with right L4/5 segmental dysfunction and right SIJ dysfunction. Improving: pain and Oswestry score reduced since the start of care.
Treatment
Diversified HVLA to right L4/5 in side posture. Drop table to right SIJ. Soft tissue work to right quadratus lumborum. Tolerated well; pain 2/10 after treatment.
Plan
Once weekly for 2 weeks, then reassess. Home exercises: McKenzie extension and cat-camel. Walking breaks every 30 minutes when sitting.
Need the diagnosis code too? Search ICD-10-CM codes
Tips for chiropractic SOAP notes
- Record segmental findings by level and side (“R L4–L5”), and adjust at the levels you documented.
- Use at least two PART elements to support each segment you treat, one of which is commonly asymmetry or range of motion; check your payer’s rules.
- Document red-flag screening, including negatives such as no bladder or bowel change.
- Repeat an outcome measure (Oswestry, NDI) at regular intervals and compare it with the baseline.
- Write the technique, level and side for each adjustment, and the patient’s response.
- Set a visit frequency with a reassessment date, and state the functional goal you are working toward.
Frequently asked questions
What is PART in chiropractic documentation?
PART stands for Pain or tenderness, Asymmetry or misalignment, Range of motion abnormality and Tissue tone changes. It is a common way to organise objective findings that support segmental dysfunction.
Will the tool decide which segments to adjust?
No. It records the levels, sides and techniques you wrote and organises your findings under PART. Anything missing is marked “Not documented”.
Can I use it for initial exams and re-exams?
Yes. Paste the full history, baseline outcome measures and examination findings; the same structure applies, with the plan setting out the course of care.
Is it free?
Yes. You can write up to 10 notes a day without an account.
Is it safe to paste patient information?
Paste clinical details only, never names, ID numbers or contact details. The text is sent to our AI provider to write the note and is not saved by Docdemic.